Tummy tuck surgery removes the hanging skin and excess fat often with the use of a hip-to-hip incision placed very low within the “bikini area” so the resulting scar is well concealed.
Aside from skin excision, the surgery also typically incorporates muscle repair, navel repair, and liposuction of the flanks to further create natural curves and contours.
Renowned Los Angeles plastic surgeon Dr. Tarick Smiley has recently posted a series of videos on Snapchat to demonstrate a “special case” of tummy tuck: The female patient previously had appendectomy, resulting in a scar on the right side of the abdomen that was causing asymmetric skin folds [see the “before” picture below].
Dr. Smiley said the skin fold must be released during tummy tuck to achieve smooth results.
During surgery, Dr. Smiley placed a curved hip-to-hip incision very low that its mid aspect was at the same level as the pubic hairline; this allowed him to remove the loose skin along with the appendectomy scar.
The celebrity plastic surgeon said that prior to surgery he “marked” the patient standing up to assess more accurately how much skin must be removed.
“Marking should be done while the patient is standing since when one is lying down, everything shifts,” he said.
Aside from removing the large skin folds causing the unsightly “rolls,” the celebrity plastic surgeon also performed muscle repair with the use of permanent sutures.
The pair of vertical muscle, which runs between the lower and upper abdomen, is naturally placed side by side until pregnancy or large weight fluctuation causes it to become separated. Hence, Dr. Smiley tightens it with the use of individual permanent suturing technique known to provide additional support and narrowing effect on the waistline.
To further ensure a feminine contour, Dr. Smiley performed navel repair to reduce its size and make it more proportionate to the flatter, narrower waistline. Furthermore, he placed it at the same level as the “stable bone” of the iliac crest or hipbone for the most natural effect.
During navel repair, he placed the incision inside the rim of the belly button to ensure that the scar would remain hidden.